A Local-First Health AI Integrated System
Health records just got a major local upgrade.
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Own, manage, protect and securely share your health records with ease right on your own Fortcupine local-first, AI-powered device — no subscription required.
A selection of premium local-first health apps.
Fortify your Fortcupine with one or more health apps customized to your needs. They all work offline but can collaborate when online.
True Privacy and Data Freedom
Our healthcare systems are broken. Despite technological advances, medical records remain vulnerable and out of users' control, stored in third-party clouds and exposed to breaches. It's time to put data ownership and management back where they belong—in the hands of healthcare providers and patients.
Security of a Fort,
Protection like a Porcupine
Fortcupine is a standalone device that enables health facilities to manage and securely store their medical records both on-site and remotely via the internet. Since the facility owns the device, they have full control and ownership of their data, accessible 24/7. It’s a plug-and-play solution that’s easy to use, ensuring seamless integration into any workflow.
Why Fortcupine?
No Subscription
Fortcupine requires no subscription - no monthly fees, no hidden costs.
Works Offline
Fortcupine work anywhere even without an internet connection.
Own Your Data
With Fortcupine , your data stays with you, fully controlled and always accessible.
Own the Software
Fortcupine gives you full ownership, so you control the software without relying on external providers.
Compliant
Fortcupine are built to meet industry standards and regulations, ensuring compliance and peace of mind.
True Privacy
Fortcupine keep your data private, with no third-party access or unnecessary sharing.
Secure
Fortcupine provide robust security features that protect your data from breaches and unauthorized access.
Powerful
Fortcupine are equipped with advanced tools to handle all your healthcare needs efficiently.
Fast
Fortcupine deliver lightning-fast performance, free from server lag or internet slowdowns.
Collaborate
Fortcupine allow seamless collaboration while keeping your data secure and private.
Synchronize
Fortcupine sync your data across all your devices effortlessly, ensuring everything is up-to-date.
Decentralized
Fortcupine are decentralized, meaning no single point of failure—your data is always within your reach.
Open
Fortcupine are built on an open-source foundation, allowing for customization and transparency.
Affordable
Fortcupine are designed to be cost-effective, making advanced healthcare technology accessible to everyone.
Freedom
Fortcupine give you the freedom to use the software your way, with no restrictions or vendor lock-in.
What is Local-First?
Local-First is a software paradigm that ensures data stays on users’ devices, offering full control, privacy, and offline access. Unlike cloud-based systems that rely on third-party servers, Local-First combines the local storage of the pre-cloud era with modern sync capabilities, enabling seamless collaboration without sacrificing data ownership.
The concept was introduced in a 2019 whitepaper by Ink & Switch titled "Local-first software: You own your data, in spite of the cloud." , a pivotal document outlining seven key principles.
Even Wired Magazine featured an article on Local-First
(August 2023).
Our Story
Our team has been developing health record systems since 2016. Even before the local-first concept was introduced in 2019, we were building offline functionality with our own ‘Syncbase’ technology, integrated into our health app, "MYCURE." Over the past 8+ years, we've encountered the challenges in this sector and experienced firsthand the limitations of a cloud-based setup.
Before relocating to San Francisco, I traveled extensively across the Philippines, Indonesia, Ethiopia, Kenya, South Africa, India, Sri Lanka, and other countries to observe the difficulties faced by doctors, small clinics, and communtiy drugstores, particularly in developing regions. Many still rely on paper-based or outdated systems, highlighting a stark reality: health equity remains a significant global issue.
Health equity, a top priority for organizations like the World Health Organization (WHO), is about ensuring fair and just access to healthcare for all individuals, regardless of socio-economic status, ethnicity, gender, or geographic location. A critical aspect of this is the ability to access and manage medical records. Yet, in many low- and middle-income countries and marginalized communities, disparities in health outcomes persist due to limited or outdated systems that hinder access to vital health information.
We believe that 'Local-First Health' is the solution to these persistent issues. By putting data ownership and management back into the hands of healthcare providers and patients, LFH aims to bridge the gap in healthcare accessibility, empowering underserved communities with secure, offline-capable solutions.
It’s time to finally solve the holy grail of healthcare data and contribute to a world where health equity is more than just an aspiration—it’s a reality.
The future is now—and it’s local.
Dale David
Founder
Local-First Health
San Francisco, CA
localfirsthealth@gmail.com 
PS - I participated in the first Local-First Conference, recently held in Berlin, Germany (May 2024). This movement is indeed growing. Re-live the energy of the conference in a 96-second video.